Organization Active NPI

Baker Clinic, LLP

Doing business as Baker Clinic

  • Rural Health Clinic/Center
  • Baker City, OR
National Provider Identifier
1992734743
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
227616 Issued in OR
Legal business name
BAKER CLINIC, LLP
Doing business as
Baker Clinic
Practice address
3175 Pocahontas Rd
Baker City, OR 97814-1434
Phone
(541) 523-4415
Fax
(541) 523-2399
NPI assigned
Jul 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Menzie McKim, M.D.NPI 1376577940
Title
Partner
Phone
(541) 523-4415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 227616 OR Primary

Addresses

Primary practice location

3175 Pocahontas Rd
Baker City, OR 97814-1434

Mailing address

3175 Pocahontas Rd
Baker City, OR 97814-1434
Phone (541) 523-4415

Other identifiers 1

IdentifierTypeStateIssuer
227616MedicaidOR

Other names 1

  • Baker Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992734743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 POCAHONTAS RD",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141434",
            "telephone_number": "541-523-4415",
            "fax_number": "541-523-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 POCAHONTAS RD",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141434",
            "telephone_number": "541-523-4415",
            "fax_number": "541-523-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER CLINIC, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKIM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MENZIE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "541-523-4415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OR",
            "license": "227616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227616",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baker Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baker City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.